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Cost analysis of remote telemedicine screening for retinopathy of prematurity

Maram Isaac1, Wanrudee Isaranuwatchai2, Nasrin Tehrani3

  • 1Department of Ophthalmology and Vision Sciences, The Hospital for Sick Children, Toronto, Ont.

Canadian Journal of Ophthalmology. Journal Canadien D'Ophtalmologie
|April 11, 2018
PubMed

Insights

Telemedicine screening for retinopathy of prematurity (ROP) is a cost-effective alternative to in-person examinations, especially in remote areas. This approach reduces interhospital transfers and overall healthcare expenses for ROP detection.

Area of Science:

  • Ophthalmology
  • Health Economics
  • Medical Technology

Background:

  • Retinopathy of prematurity (ROP) requires timely screening.
  • Current screening often involves in-person binocular indirect ophthalmoscopy (BIO) and interhospital transfers.
  • Telemedicine offers a potential alternative for ROP screening.

Purpose of the Study:

  • To compare the costs of telemedicine imaging with remote interpretation versus in-person BIO for ROP screening.
  • To evaluate the economic viability of telemedicine for ROP screening programs.

Main Methods:

  • A retrospective chart review was conducted.
  • Cost analysis compared telemedicine screening with a hypothetical in-person BIO control group.
  • Costs included examinations, transfers, and telemedicine setup/ongoing expenses.
  • Data were analyzed from two Ontario, Canada cities.

Main Results:

  • Telemedicine screening resulted in significantly lower average costs per eye examination compared to the control group in both cities (p < 0.001).
  • Interhospital transfer costs were substantially reduced with telemedicine.
  • A small percentage of infants in the telemedicine group required transfer for BIO, versus all infants in the control group.

Conclusions:

  • Telemedicine is an economically attractive option for ROP screening, with cost-effectiveness influenced by location and patient volume.
  • This finding supports the planning and implementation of telemedicine-based ROP screening programs.
Abstract

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